NPIMap

Individual provider Active NPI

David T Chen, MD

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1891719852
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82411 Issued in CA
Practice address
3191 W Temple Ave Ste 190
Pomona, CA 91768-3228
Phone
(909) 895-3299
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82411 CA Primary

Addresses

Primary practice location

3191 W Temple Ave Ste 190
Pomona, CA 91768-3228

Mailing address

3191 W Temple Ave Ste 190
Pomona, CA 91768-3228
Phone (626) 965-1988

Other identifiers 1

IdentifierTypeStateIssuer
1891719852MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001545 CA Practitioner - Family Practice 6901884949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3191 W Temple Ave
Suite 190
Pomona, CA 91768-3228
Phone (909) 895-3299

Hospital & facility affiliations

  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82411CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldome Healthcare Inc. CurrentSince Jun 1, 2014 Accepting new patients
Martin R Zapata DO Inc Current Accepting new patients
Centinela Freeman Emergency Medical Associates Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
A-One Medical Group, Inc. a Professional Corporation Family Medicine PastSince Jul 25, 2019 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Max Franklin Lebow, a Medical Corporation Past Accepting new patients

Locations

2705 S Diamond Bar Blvd
Ste 100
Diamond Bar, CA 91765
Phone (626) 965-1988

3191 W Temple Ave
Ste 190
Pomona, CA 91768
Phone (909) 895-3299

2707 E Valley Blvd
Ste 203
West Covina, CA 91792
Phone (626) 667-8290

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1891719852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 W TEMPLE AVE STE 190",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683228",
            "telephone_number": "626-965-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 W TEMPLE AVE STE 190",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683228",
            "telephone_number": "909-895-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891719852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.